Publication Date
2-1-2017
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-15-5408
PMID
28265212
Publication Date(s)
February 2017
Language
English
PMCID
PMC5317359
PubMedCentral® Posted Date
2-1-2017
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Balloon valvuloplasty/methods, cardiac catheterization, dilation/methods, heart valve prosthesis implantation, hemodynamics/physiology, treatment outcome, tricuspid valve stenosis/complications/diagnostic imaging/physiopathology/therapy
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
Percutaneous transcatheter tricuspid balloon valvuloplasty (PTTBV) is an accepted treatment option for symptomatic severe native tricuspid valve stenosis, although surgical tricuspid valve replacement remains the treatment of choice. There have been few reports of successful PTTBV for bioprosthetic tricuspid valve stenosis. We present case reports of 3 patients from our hospital experience. Two of the 3 cases were successful, with lasting clinical improvement, whereas the 3rd patient failed to show a reduction in valve gradient. We describe the standard technique used for PTTBV. We present results from a literature review that identified 16 previously reported cases of PTTBV for bioprosthetic severe tricuspid stenosis, with overall favorable results. We conclude that PTTBV should perhaps be considered for a select patient population in which symptomatic improvement and hemodynamic stability are desired immediately, and particularly for patients who are inoperable or at high surgical risk.